Quality Improvement

Reducing harm

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  Category: Reducing physical & procedural harm

Reducing blood collection errors in our emergency departments

Reducing blood collection errors in our emergency departments

What is a blood collection error?

Blood collection errors fall into two groups:

  1. Accuracy of information:  errors made in the patient identification process and/or documentation process.
  2. Specimen integrity:  errors made in the process of drawing the blood and transferring into tubes for processing.

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Pressure injury prevention

Pressure injury prevention

What is a pressure (ulcer) injury?

A pressure injury is an injury to the skin and/or the tissues under the skinConstant pressure on an area of skin reduces blood supply to the area.  Over time, it can cause the skin to break down and form an open sore (ulcer).  Pressure injuries are more likely to form if a person is in hospital and is confined to a chair or bed.

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Falls prevention programme

Falls prevention programme

What is a fall?

A fall is defined as “inadvertently coming to rest on the ground, floor or other lower level”.

The "banana man" is a symbol used on patient folders to indicate a patient has had a previous fall, and a magnet is used on the ward whiteboard to indicate an inpatient fall.


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Falls prevention II: zero falls with harm

Falls prevention II: zero falls with harm

What constitutes harm from a fall?

Falls frequently result in harm.  This can include:

  • death
  • a knock to the head causing concussion or a brain injury
  • a fracture
  • a dislocation of any joint
  • a cut requiring stitches
  • teeth or dentures chipped requiring repair or replacement

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